Individual
MELISSA LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
133 MAIN AVE W STE 500, TWIN FALLS, ID 83301-6580
(208) 829-9441
Mailing address
133 MAIN AVE W STE 500, TWIN FALLS, ID 83301-6580
(208) 829-9441
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8911288
ID
Other
Enumeration date
12/12/2022
Last updated
12/13/2025
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